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AGREEMENT TERMINATION <br />Please complete this form when the attached agreement is no longer in effect. <br />Return form to the Sr. Deputy Clerk of the Council (M-30). Call 647-5238 if you have any <br />questions. <br />----- ----- --------------- ------------ <br />The agreement with yal/d Lem 11-1/1 No. AZ -O -Zr�r-,5V l <br />was completed on ® o and final payment has been made. <br />Department: <br />Signature: <br />Date: % 1 I S 1 b <br />City of Santa Ana <br />Revised 8-7-03 Clerk of the Council <br />